ICD-10 Coding for Tremor(G25.0, G25.1, R25.1)
Complete ICD-10-CM coding and documentation guide for Tremor. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Tremor
G25.0-G25.9Primary Range
Other extrapyramidal and movement disorders
This range includes specific types of tremors such as essential tremor, drug-induced tremor, and other specified tremors.
Abnormal involuntary movements
This range includes unspecified tremors and other abnormal involuntary movements.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G25.0 | Essential tremor | Use when essential tremor is confirmed with clinical criteria. |
|
| G25.1 | Drug-induced tremor | Use when tremor is directly linked to medication use. |
|
| R25.1 | Tremor, unspecified | Use when tremor is present but not yet classified. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for essential tremor
Essential facts and insights about Tremor
Primary ICD-10-CM Codes for tremor
Decision Criteria
clinical Criteria
- Action tremor in upper limbs for ≥3 years
documentation Criteria
- Documented family history of tremor
Applicable To
- Action tremor
- Familial tremor
Excludes
- Parkinson's disease (G20)
Clinical Validation Requirements
- Action tremor in upper limbs for ≥3 years
- No other neurological signs
- Family history of tremor
Code-Specific Risks
- Misclassification with Parkinson's disease
- Inadequate documentation of duration and family history
Coding Notes
- Ensure documentation includes specific tremor characteristics and family history.
G25.1 - Drug-induced tremor
Use when tremor is directly linked to medication use.
Applicable To
- Tremor due to medication
Excludes
- Essential tremor (G25.0)
Clinical Validation Requirements
- Temporal relationship to medication
- Resolution upon medication adjustment
Coding Notes
Ensure clear documentation of drug and its effects.
R25.1 - Tremor, unspecified
Use when tremor is present but not yet classified.
Applicable To
- Unspecified tremor
Excludes
- Essential tremor (G25.0)
- Drug-induced tremor (G25.1)
Clinical Validation Requirements
- No specific etiology identified
- Negative imaging and differential diagnosis
Coding Notes
Use only when no specific diagnosis is available.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Tremor to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G25.0.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use structured templates, Regular training on documentation standards
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure thorough clinical evaluation to specify tremor type.
Impact
High risk of audit when using R25.1 without proper justification.
Mitigation Strategy
Ensure thorough clinical evaluation and documentation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Tremor, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Tremor
Use these documentation templates to ensure complete and accurate documentation for Tremor. These templates include all required elements for proper coding and billing.
Essential tremor diagnosis
Specialty: NeurologyRequired Elements
- Tremor characteristics
- Family history
- Duration
- Response to medication
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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